RESUMEN
Water quality impacts of new ion exchange point-of-entry residential softeners and their ability to be decontaminated following hydrocarbon exposure were investigated. During startup, significant amounts of total sulfur (445 ± 815 mg/L) and total organic carbon (937 ± 119 mg/L) were released into the drinking water that flowed through the softeners. Particulate organic carbon was released until the third regeneration cycle, and resin may also have been released. After one week of device use, softeners continued to cause organic carbon levels to be four to five times greater than background levels. Leached materials from the ion-exchange resin contributed to chlorine decay. When resins were exposed to hydrocarbon-contaminated water, they sorbed benzene, toluene, ethylbenzene, and xylenes (BTEX) and then desorbed the contaminants into drinking water during a 15 day flushing decontamination period. On day 15, benzene exceeded the federal drinking water limit for two of the four resins. The aged resin contributed to the greatest chlorine decay rates and sorbed and then retained the least amount of BTEX. Scale and biofilm on the aged resin likely prompted disinfectant reactivity and inhibited BTEX diffusion into the resin. Study results show that softeners exposed to hydrocarbon-contaminated water may need to be repeatedly flushed to remove BTEX contamination or be replaced. Additional work is recommended to better understand softener impacts on drinking water quality.
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Agua Potable , Contaminantes Químicos del Agua , Benceno/análisis , Cloro , Carbono , Derivados del Benceno , Hidrocarburos , Tolueno/análisis , Xilenos/análisis , Contaminantes Químicos del Agua/análisisRESUMEN
Aromatic polyamide-based membranes are widely used for reverse osmosis (RO) and nanofiltration (NF) treatment but degrade when exposed to free chlorine (HOCl/OCl-). The reaction mechanisms with free chlorine were previously explored, but less is known about the role of bromide (Br-) in these processes. Br- may impact these reactions by reacting with HOCl to form HOBr, which then triggers other brominating agents (Br2O, Br2, BrOCl, and BrCl) to form. This study examined the reactivities of these brominating agents with a polyamide monomer model compound, benzanilide (BA), and a modified version of it, N-CH3-BA. The results indicated that all these brominating agents only attacked the aromatic ring adjacent to the amide N, rather than the amide N, different from the previously examined chlorinating agents (HOCl, OCl-, and Cl2) that attacked both sites. Orton rearrangement was not observed. Species-specific rate constants (ki, M-1 s-1) between BA and HOBr, Br2O, Br2, BrOCl, and BrCl were determined to be (5.3 ± 1.2) × 10-2, (1.2 ± 0.4) × 101, (3.7 ± 0.2) × 102, (2.2 ± 0.6) × 104, and (6.6 ± 0.9) × 104 M-1 s-1, respectively, such that kBrCl > kBrOCl > kBr2 > kBr2O > kHOBr. N-CH3-BA exhibited lower reactivity than BA. Model predictions of BA loss during chlorination with varied Br- and/or Cl- concentrations were established. These findings will ultimately enable membrane degradation and performance loss following chlorination in mixed halide solutions to be better predicted during pilot- and full-scale NF and RO treatment.
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Cloro , Purificación del Agua , Bromuros , Cloruros , Cinética , NylonsRESUMEN
Aromatic polyamide thin-film composite membranes are widely used in reverse osmosis (RO) and nanofiltration (NF) due to their high water permeability and selectivity. However, these membranes undergo biofouling and can degrade and eventually fail during free chlorine exposure. To better understand this effect, the reactivity of the polyamide monomer (benzanilide (BA)) with free chlorine was tested under varying pH and chloride (Cl-) conditions. The kinetic results indicated that the current existing mechanisms, especially the Orton rearrangement, were invalid. Revised reaction pathways were proposed where BA chlorination was driven by two independent pathways involving the anilide ring and amide nitrogen moieties. The ability for one moiety to be chosen over the other was highly dependent on the pH, Cl- concentration, and the resulting chlorinating agents (e.g., Cl2, HOCl, OCl-, and Cl2O) generated. Species-specific rate constants for BA with Cl2, OCl-, and HOCl equaled (7.6 ± 0.19) × 101, (1.7 ± 1.5) × 101, (2.1 ± 0.71) × 10-2 M-1 s-1, respectively. A similar value for Cl2O could not be accurately estimated under the tested conditions. The behavior of these chlorinating agents differed for each reactive site such that OCl- > HOCl for N-chlorination and Cl2 > HOCl > OCl- for anilide ring chlorination. Experiments with modified monomers indicated that substituent placement largely affected which reactive site was kinetically favorable. Overall, such findings provide a predictive model of how the polyamide monomer degrades during chlorine exposure and guidance on how chlorine-resistant polyamide membranes should be designed.
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Cloro , Purificación del Agua , Concentración de Iones de Hidrógeno , Cinética , NylonsRESUMEN
Carbonyl sulfide (COS) and carbon disulfide (CS2) are volatile sulfur compounds that are critical precursors to sulfate aerosols, which enable climate cooling. COS and CS2 stem from the indirect photolysis of organic sulfur precursors in natural waters, but currently the chemistry behind how this occurs remains unclear. This study evaluated how different organic sulfur precursors, water quality constituents, which can form important reactive intermediates (RIs), and temperature affected COS and CS2 formation. Nine natural waters ranging in salinity were spiked with cysteine, cystine, dimethylsulfide (DMS), or methionine and exposed to simulated sunlight over varying times and water quality conditions. Results indicated that COS and CS2 formation increased up to 11× and 4×, respectively, after 12 h of sunlight, while diurnal cycling exhibited varied effects. COS and CS2 formation was also strongly affected by the DOC concentration, organic sulfur precursor type, O2 concentration, and temperature, while salinity differences and CO addition did not play a significant role. Overall, important factors in forming COS and CS2 were identified, which may ultimately impact their atmospheric concentrations.
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Disulfuro de Carbono , Procesos Fotoquímicos , Azufre , Óxidos de Azufre , Temperatura , Calidad del AguaRESUMEN
BACKGROUND: For the past several years, increased levels of imaging radiation and cumulative radiation to children has been a significant concern. Although several measures have been taken to reduce radiation dose during computed tomography (CT) scan, the newer dose reduction software adaptive statistical iterative reconstruction (ASIR) has been an effective technique in reducing radiation dose. To our knowledge, no studies are published that assess the effect of ASIR on extremity CT scans in children. OBJECTIVE: To compare radiation dose, image noise, and subjective image quality in pediatric lower extremity CT scans acquired with and without ASIR. MATERIALS AND METHODS: The study group consisted of 53 patients imaged on a CT scanner equipped with ASIR software. The control group consisted of 37 patients whose CT images were acquired without ASIR. Image noise, Computed Tomography Dose Index (CTDI) and dose length product (DLP) were measured. Two pediatric radiologists rated the studies in subjective categories: image sharpness, noise, diagnostic acceptability, and artifacts. RESULTS: The CTDI (p value = 0.0184) and DLP (p value <0.0002) were significantly decreased with the use of ASIR compared with non-ASIR studies. However, the subjective ratings for sharpness (p < 0.0001) and diagnostic acceptability of the ASIR images (p < 0.0128) were decreased compared with standard, non-ASIR CT studies. CONCLUSION: Adaptive statistical iterative reconstruction reduces radiation dose for lower extremity CTs in children, but at the expense of diagnostic imaging quality. Further studies are warranted to determine the specific utility of ASIR for pediatric musculoskeletal CT imaging.
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Extremidad Inferior/diagnóstico por imagen , Protección Radiológica/métodos , Interpretación de Imagen Radiográfica Asistida por Computador/métodos , Tomografía Computarizada por Rayos X/métodos , Adolescente , Algoritmos , Niño , Femenino , Humanos , Masculino , Estudios Prospectivos , Dosis de Radiación , Programas InformáticosRESUMEN
Peracetic acid (PAA) is a disinfectant considered for use in ballast water treatment, but its chemical behavior in such systems (i.e., saline waters) is largely unknown. In this study, the reactivity of PAA with halide ions (chloride and bromide) to form secondary oxidants (HOCl, HOBr) was investigated. For the PAA-chloride and PAA-bromide reactions, second-order rate constants of (1.47 ± 0.58) × 10(-5) and 0.24 ± 0.02 M(-1) s(-1) were determined for the formation of HOCl or HOBr, respectively. Hydrogen peroxide (H2O2), which is always present in PAA solutions, reduced HOCl or HOBr to chloride or bromide, respectively. As a consequence, in PAA-treated solutions with [H2O2] > [PAA], the HOBr (HOCl) steady-state concentrations were low with a limited formation of brominated (chlorinated) disinfection byproducts (DBPs). HOI (formed from the PAA-iodide reaction) affected this process because it can react with H2O2 back to iodide. H2O2 is thus consumed in a catalytic cycle and leads to less efficient HOBr scavenging at even low iodide concentrations (<1 µM). In PAA-treated solutions with [H2O2] < [PAA] and high bromide levels, mostly brominated DBPs are formed. In synthetic water, bromate was formed from the oxidation of bromide. In natural brackish waters, bromoform (CHBr3), bromoacetic acid (MBAA), dibromoacetic acid (DBAA), and tribromoacetic acid (TBAA) formed at up to 260, 106, 230, and 89 µg/L, respectively for doses of 2 mM (ca. 150 mg/L) PAA and [H2O2] < [PAA]. The same brackish waters, treated with PAA with [H2O2] â« [PAA], similar to conditions found in commercial PAA solutions, resulted in no trihalomethanes and only low haloacetic acid concentrations.
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Peróxido de Hidrógeno/química , Ácido Peracético/química , Aguas Salinas/química , Purificación del Agua/métodos , Bromatos/química , Bromuros/química , Cloruros/química , Desinfección/métodos , Halogenación , Yoduros/química , Oxidantes/química , Oxidación-Reducción , Trihalometanos/química , Contaminantes Químicos del Agua/químicaRESUMEN
The growth plate, also known as the physis or epiphyseal plate, is essential for longitudinal growth of bones in the immature skeleton. A variety of insults to the growth plate from trauma to infection to idiopathic causes can lead to physeal bar formation, an interruption in normal growth plate cartilage, where a bony or fibrous bridge develops between the metaphysis and epiphysis. This bridge restricts subsequent bone growth, leading to limb shortening and/or angular deformities. Early recognition of the presence of a physeal bar can help direct appropriate surgical management to restore linear growth of the bone.
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Fracturas Óseas/diagnóstico , Placa de Crecimiento/anomalías , Imagen por Resonancia Magnética/métodos , Fracturas de Salter-Harris , Tomografía Computarizada por Rayos X/métodos , Niño , Preescolar , Femenino , Placa de Crecimiento/diagnóstico por imagen , Humanos , Lactante , Recién Nacido , MasculinoRESUMEN
Although amine-based CO(2) absorption is a leading contender for full-scale postcombustion CO(2) capture at power plants, concerns have been raised about the potential release of carcinogenic N-nitrosamines and N-nitramines formed by reaction of exhaust gas NO(x) with the amines. Experiments with a laboratory-scale pilot unit suggested that washwater units meant to scrub contaminants from absorber unit exhaust could potentially serve as a source of N-nitrosamines via reactions of residual NO(x) with amines accumulating in the washwater. Dosage requirements for the continuous treatment of the washwater recycle line with ultraviolet (UV) light for destruction of N-nitrosamines and N-nitramines, and with ozone or hydroxyl radical-based advanced oxidation processes (AOPs) for destruction of amines and aldehydes, were evaluated. Although <1000 mJ/cm(2) UV fluence was generally needed for 90% removal of a series of model N-nitrosamines and N-nitramines, 280-1000 mJ/cm(2) average fluence was needed for 90% removal of total N-nitrosamines in pilot washwaters associated with two different solvents. While AOPs were somewhat more efficient than ozone for acetaldehyde destruction, ozone was more efficient for amine destruction. Ozone achieved 90% amine removal in washwaters at 5-12 molar excess of ozone, indicating transferred dosage levels of â¼100 mg/L for 90% removal in a first-stage washwater unit, but likely only â¼10 mg/L if applied to a second-stage washwater. Accurate dosage and cost estimates would require pilot testing to capture synergies between UV and ozone treatments.
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Aldehídos/aislamiento & purificación , Aminas/aislamiento & purificación , Compuestos de Anilina/aislamiento & purificación , Nitrobencenos/aislamiento & purificación , Nitrosaminas/aislamiento & purificación , Contaminantes Químicos del Agua/aislamiento & purificación , Carbono/aislamiento & purificación , Diseño de Equipo , Oxidación-Reducción , Ozono/química , Rayos Ultravioleta , Eliminación de Residuos Líquidos/instrumentaciónRESUMEN
We conducted an experimental case study to demonstrate the application of proton transfer reaction time-of-flight mass spectrometry (PTR-TOF-MS) for mobile breathing zone (BZ) monitoring of volatile chemical exposures in workplace environments during COVID-19 disinfection activities. The experiments were conducted in an architectural engineering laboratory-the Purdue zero Energy Design Guidance for Engineers (zEDGE) Tiny House, which served as a simulated workplace environment. Controlled disinfection activities were carried out on impermeable high-touch indoor surfaces, including the entry door, kitchen countertop, toilet bowl, bathroom sink, and shower. Worker inhalation exposure to volatile organic compounds (VOCs) was evaluated by attaching the PTR-TOF-MS sampling line to the researcher's BZ while the disinfection activity was carried out throughout the entire building. The results demonstrate that significant spatiotemporal variations in VOC concentrations can occur in the worker's BZ during multi-surface disinfection events. Application of high-resolution monitoring techniques, such as PTR-TOF-MS, are needed to advance characterization of worker exposures towards the development of appropriate mitigation strategies for volatile disinfectant chemicals.
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COVID-19 , Exposición Profesional , Humanos , Protones , Desinfección , Espectrometría de Masas/métodos , Lugar de TrabajoRESUMEN
Rationale: Angiosarcoma is a malignant mesenchymal tumor arising from vascular endothelial cells. This is an aggressive malignancy associated with poor prognosis. Angiosarcoma in the head and neck is exceedingly rare, accounting for less than 4 % of tumors.[1]. Patient Concern: We report a unique case of angiosarcoma involving the tongue underlying the diagnostic conundrum and pointers towards an accurate diagnosis. Take-away lesson: Due to rarity of the disease, consensus on optimal treatment approach is lacking and multicenter prospective studies would be helpful to set clinical guidelines.
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Hemangiosarcoma , Humanos , Células Endoteliales/patología , Cabeza/patología , Hemangiosarcoma/diagnóstico , Hemangiosarcoma/patología , Estudios Prospectivos , Lengua/patologíaRESUMEN
BACKGROUND: In this cross sectional study, we used MRF to investigate tissue properties of normal-appearing white matter, gray matter, and lesions in relapsing remitting MS (n = 21), secondary progressive MS (n = 16) and healthy controls (n = 9). A FISP-based MRF sequence was used for acquisition, imaging time 5 min 15 s. MRF T1 and T2 relaxation times were measured from lesional tissue, normal-appearing frontal white matter, corpus callous, thalamus, and caudate. Differences between healthy controls and MS were examined using ANCOVA adjusted for age and sex. Spearman rank correlations were assessed between T1 and T2 relaxation times and clinical measures. OBJECTIVES: To examine brain T1 and T2 values using magnetic resonance fingerprinting (MRF) in healthy controls and MS. METHODS: The subjects included 21 relapsing-remitting (RR) MS, 16 secondary progressive (SP) MS, and 9 age- and sex-matched HC without manifest neurological disease participating in a longitudinal MRI study. A 3T/ FISP-based MRF sequence was acquired. Regions of interest were drawn for lesions and normal appearing white matter. ANCOVA adjusted for age and sex were used to compare the groups with significance set at 0.05. RESULTS: A step-wise increase in T1 and T2 relaxation times was found between healthy controls, relapsing remitting MS, and secondary progressive MS. Significant differences were found in T1 and T2 between MS and healthy controls in the frontal normal-appearing white matter, corpus callosum, and thalamus (p < 0.04 for all). Significant differences in T1 and T2 between RR and SPMS were found in the frontal normal-appearing white matter and T2 lesions (p < 0.02 for all). T1 relaxation from the frontal normal-appearing white matter correlated with the Expanded Disability Status Scale [ρ = 0.62, p < 0.001], timed 25 foot walk (ρ = 0.45, p = 0.01), 9 hole peg test (ρ = 0.62, p < 0.001), and paced auditory serial addition test (ρ = -0.4, p = 0.01). CONCLUSION: These results suggest that MRF may be a clinically feasible quantitative approach for characterizing tissue damage in MS.
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Esclerosis Múltiple Recurrente-Remitente , Esclerosis Múltiple , Humanos , Esclerosis Múltiple/diagnóstico por imagen , Esclerosis Múltiple/patología , Estudios Transversales , Imagen por Resonancia Magnética/métodos , Espectroscopía de Resonancia Magnética , Encéfalo/diagnóstico por imagen , Encéfalo/patología , Esclerosis Múltiple Recurrente-Remitente/diagnóstico por imagen , Esclerosis Múltiple Recurrente-Remitente/patologíaRESUMEN
Interest in the formation of nitrogenous disinfection byproducts (N-DBPs) has increased because toxicological research has indicated that they are often more genotoxic, cytotoxic, or carcinogenic than many of the carbonaceous disinfection byproducts (C-DBPs) that have been a focus for previous research. Moreover, population growth has forced utilities to exploit source waters impaired by wastewater effluents or algal blooms. Both waters feature higher levels of organic nitrogen, that might serve as N-DBP precursors. Utilities are exploring new disinfectant combinations to reduce the formation of regulated trihalomethanes and haloacetic acids. As some of these new combinations may promote N-DBP formation, characterization of N-DBP formation pathways is needed. Formation pathways for halonitroalkanes, halonitriles, haloamides, and N-nitrosamines associated with chlorine, ozone, chlorine dioxide, UV, and chloramine disinfection are critically reviewed. Several important themes emerge from the review. First, the formation pathways of the N-DBP families are partially linked because most of the pathways involve similar amine precursors. Second, it is unlikely that a disinfection scheme that is free of byproduct formation will be discovered. Disinfectant combinations should be optimized to reduce the overall exposure to toxic byproducts. Third, the understanding of formation pathways should be employed to devise methods of applying disinfectants that minimize byproduct formation while accomplishing pathogen reduction goals. Fourth, the well-characterized nature of the monomers constituting the biopolymers that likely dominate the organic nitrogen precursor pool should be exploited to predict the formation of byproducts likely to form at high yields.
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Alcanos/análisis , Amidas/análisis , Desinfección , Hidrocarburos Halogenados/análisis , Nitrilos/análisis , Nitrosaminas/análisis , Nitrilos/química , Nitrosaminas/químicaRESUMEN
Chloramines in drinking water may form N-nitrosodimethylamine (NDMA). Various primary disinfectants can deactivate NDMA precursors prior to chloramination. However, they promote the formation of other byproducts. This study compared the reduction in NDMA formation due to chlorine, ozone, chlorine dioxide, and UV over oxidant exposures relevant to Giardia control coupled with postchloramination under conditions relevant to drinking water practice. Ten waters impacted by treated wastewater, poly(diallyldimethylammonium chloride) (polyDADMAC) polymer, or anion exchange resin were examined. Ozone reduced NDMA formation by 50% at exposures as low as 0.4 mg×min/L. A similar reduction in NDMA formation by chlorination required â¼60 mg×min/L exposure. However, for some waters, chlorination actually increased NDMA formation at lower exposures. Chlorine dioxide typically had limited efficacy regarding NDMA precursor destruction; moreover, it increased NDMA formation in some cases. UV decreased NDMA formation by â¼30% at fluences >500 mJ/cm(2), levels relevant to advanced oxidation. For the selected pretreatment oxidant exposures, concentrations of regulated trihalomethanes, haloacetic acids, bromate, and chlorite typically remained below current regulatory levels. Chloropicrin and trichloroacetaldehyde formation were increased by preozonation or medium pressure UV followed by postchloramination. Among preoxidants, ozone achieved the greatest reduction in NDMA formation at the lowest oxidant exposure associated with each disinfectant. Accordingly, preozonation may inhibit NDMA formation with minimal risk of promotion of other byproducts. Bromide >500 µg/L generally increased NDMA formation during chloramination. Higher temperatures increased NDMA precursor destruction by preoxidants but also increased NDMA formation during postchloramination. The net effect of these opposing trends on NDMA formation was water-specific.
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Compuestos de Cloro/química , Cloro/química , Dimetilnitrosamina/síntesis química , Agua Potable/análisis , Óxidos/química , Ozono/química , Dimetilnitrosamina/análisis , Desinfección/métodos , Rayos Ultravioleta , Contaminación Química del Agua/prevención & controlRESUMEN
With years of full-scale experience for precombustion CO(2) capture, amine-based technologies are emerging as the prime contender for postcombustion CO(2) capture. However, concerns for postcombustion applications have focused on the possible contamination of air or drinking water supplies downwind by potentially carcinogenic N-nitrosamines and N-nitramines released following their formation by NO(x) reactions with amines within the capture unit. Analytical methods for N-nitrosamines in drinking waters were adapted to measure specific N-nitrosamines and N-nitramines and total N-nitrosamines in solvent and washwater samples. The high levels of amines, aldehydes, and nitrite in these samples presented a risk for the artifactual formation of N-nitrosamines during sample storage or analysis. Application of a 30-fold molar excess of sulfamic acid to nitrite at pH 2 destroyed nitrite with no significant risk of artifactual nitrosation of amines. Analysis of aqueous morpholine solutions purged with different gas-phase NO and NO(2) concentrations indicated that N-nitrosamine formation generally exceeds N-nitramine formation. The total N-nitrosamine formation rate was at least an order of magnitude higher for the secondary amine piperazine (PZ) than for the primary amines 2-amino-2-methyl-1-propanol (AMP) and monoethanolamine (MEA) and the tertiary amine methyldiethanolamine (MDEA). Analysis of pilot washwater samples indicated a 59 µM total N-nitrosamine concentration for a system operated with a 25% AMP/15% PZ solvent, but only 0.73 µM for a 35% MEA solvent. Unfortunately, a greater fraction of the total N-nitrosamine signal was uncharacterized for the MEA-associated washwater. At a 0.73 µM total N-nitrosamine concentration, a ~25000-fold reduction in concentration is needed between washwater units and downwind drinking water supplies to meet proposed permit limits.
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Aminas/química , Compuestos de Anilina/análisis , Secuestro de Carbono , Nitrobencenos/análisis , Óxidos de Nitrógeno/química , Nitrosaminas/análisis , Contaminantes Químicos del Agua/análisis , Dióxido de Carbono/aislamiento & purificación , Ácidos Sulfónicos/química , Abastecimiento de AguaRESUMEN
We appreciate the comments written regarding our paper, "Review of spinal involvement in Chronic recurrent multifocal osteomyelitis (CRMO): What radiologists need to know about CRMO and its imitators". In this paper, we review multiple categories of mimics of CRMO. Although we do mention infectious etiology as a group, we did not specifically mention tuberculosis affecting the spine which is an important mimic of CRMO, and we acknowledge this omission.
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Osteomielitis , Humanos , Osteomielitis/diagnóstico por imagen , Radiólogos , Recurrencia , Columna Vertebral/diagnóstico por imagenRESUMEN
Chronic recurrent multifocal osteomyelitis (CRMO) is a distinct disease entity of unknown etiology primarily affecting children and adolescents. It is an autoinflammatory process that typically affects multiple bones with a waxing and waning course. About one third of the patients diagnosed with CRMO have spinal involvement which can lead to long term morbidity. The clinical presentation and imaging features of CRMO involving the spine are nonspecific and can mimic other disease processes like infection or malignancy. Since imaging plays a very important role in the diagnosis and management of CRMO, we intend to highlight various imaging patterns of spinal CRMO alongside its clinical features and briefly discuss its imitators, management and outcomes.
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Osteomielitis , Imagen de Cuerpo Entero , Adolescente , Niño , Enfermedad Crónica , Humanos , Imagen por Resonancia Magnética , Osteomielitis/diagnóstico por imagen , Radiólogos , RecurrenciaRESUMEN
Bone morphology has been increasingly recognized as a significant variable in the evaluation of non-arthritic hip pain in young adults. Increased availability and use of multidetector CT in this patient population has contributed to better characterization of the osseous structures compared to traditional radiographs. Femoral and acetabular version, sites of impingement, acetabular coverage, femoral head-neck morphology, and other structural abnormalities are increasingly identified with the use of CT scan. In this review, a standard CT imaging technique and protocol is discussed, along with a systematic approach for evaluating pelvic CT imaging in patients with non-arthritic hip pain.
RESUMEN
The application of UV disinfection in water treatment is increasing due to both its effectiveness against protozoan pathogens, and the perception that its lack of chemical inputs would minimize disinfection byproduct formation. However, previous research has indicated that treatment of nitrate-containing drinking waters with polychromatic medium pressure (MP), but not monochromatic (254 nm) low pressure (LP), UV lamps followed by chlorination could promote chloropicrin formation. To better understand this phenomenon, conditions promoting the formation of the full suite of chlorinated halonitromethanes and haloacetonitriles were studied. MP UV/postchlorination of authentic filter effluent waters increased chloropicrin formation up to an order of magnitude above the 0.19 µg/L median level in the U.S. EPA's Information Collection Rule database, even at disinfection-level fluences (<300 mJ/cm(2)) and nitrate/nitrite concentrations (1.0 mg/L-N) relevant to drinking waters. Formation was up to 2.5 times higher for postchlorination than for postchloramination. Experiments indicated that the nitrating agent, NO(2)(â¢), generated during nitrate photolysis, was primarily responsible for halonitromethane promotion. LP UV treatment up to 1500 mJ/cm(2) did not enhance halonitromethane formation. Although MP UV/postchloramination enhanced dichloroacetonitrile formation with Sigma-Aldrich humic acid, formation was not significant in field waters. Prechlorination/MP UV nearly doubled chloropicrin formation compared to MP UV/postchlorination, but effects on haloacetonitrile formation were not significant.
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Acetonitrilos/síntesis química , Halogenación , Metano/análogos & derivados , Nitroparafinas/síntesis química , Rayos Ultravioleta , Contaminantes Químicos del Agua/síntesis química , Purificación del Agua/métodos , Acetonitrilos/análisis , Desinfectantes/análisis , Desinfectantes/química , Desinfectantes/efectos de la radiación , Desinfección/métodos , Agua Dulce/química , Hidrocarburos Clorados/análisis , Hidrocarburos Clorados/síntesis química , Metano/análisis , Metano/síntesis química , Nitroparafinas/análisis , Procesos Fotoquímicos , Contaminantes Químicos del Agua/análisis , Abastecimiento de Agua/análisisRESUMEN
A seven-yr-old boy presented with persistent oxygen requirement following a respiratory infection. Physical exam was remarkable for orthodeoxia and digital clubbing. Laboratory evaluation showed elevated A-a oxygen gradient of 48 mmHg and mildly elevated transaminases. Sonography showed a 13 cm multilobulated liver mass and a biopsy revealed histological findings consistent with focal nodular hyperplasia. MAA scan revealed 23% right to left shunting. Abdominal CTA and MRV demonstrated the absence of the intrahepatic portal vein with an extrahepatic portocaval shunt. Abernethy malformation is a rare anomalous intra- or extrahepatic communication between portal blood flow and systemic venous return. In rare cases, Abernethy malformation results in HPS. Ours is the sixth case report to describe the co-existence of these two entities. Surgical correction of anomalous hepatic vasculature or liver transplant is imperative to restoration of lung function and also to prevent progression of possible malignant liver tumors. We describe the second patient with Abernethy and HPS who underwent liver transplant with complete resolution of HPS.
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Síndrome Hepatopulmonar/cirugía , Neoplasias Hepáticas/cirugía , Trasplante de Hígado/métodos , Hígado/anomalías , Biopsia/métodos , Niño , Hiperplasia Nodular Focal/patología , Síndrome Hepatopulmonar/complicaciones , Humanos , Hígado/patología , Hígado/cirugía , Neoplasias Hepáticas/complicaciones , Masculino , Venas Mesentéricas/cirugía , Oxígeno/metabolismo , Vena Porta/cirugía , Tomografía Computarizada por Rayos X/métodos , Resultado del TratamientoRESUMEN
Carbonyl sulfide (COS) and carbon disulfide (CS2 ) are important atmospheric gases photochemically generated from organic sulfur precursors in sunlit natural waters. This study examined these processes by evaluating COS and CS2 photoproduction from dimethyl sulfide (DMS) in the presence of dissolved organic matter (DOM). DOM was added because it photochemically produces various reactive intermediates (3 CDOM*, ⢠OH, 1 O2 , and H2 O2 ) potentially involved in these reaction pathways. DMS-amended synthetic waters at pH 8 were varied in terms of their DOM type and concentration, spiked with the 3 CDOM* quenching agent, phenol, in certain cases, and subsequently irradiated over varying exposure times. Results indicated that various DOM types ranging from freshwater to open-ocean DOM increased COS but did not alter CS2 , which remained at nondetect levels. DOM type influenced COS only at higher concentrations (20 mg/L), whereas increasing DOM concentrations proportionally increased COS concentrations for all DOM types. Phenol addition lowered COS formation for reasons that remained unclear because phenol likely quenched 3 CDOM* and DMS-derived sulfur-based radicals. Further comparisons with DMS-spiked natural waters and cysteine (CYS)-spiked synthetic and natural waters assessed previously indicated that COS formation from both precursors in natural waters was always greater than in waters containing DOM alone. PRACTITIONER POINTS: DMS- and DOM-spiked synthetic waters formed COS but did not form CS2 during sunlight photolysis. In DMS-spiked synthetic solutions, DOM type has a limited influence on COS formation whereas DOM concentration has a stronger influence on COS formation. COS formation in the DMS-spiked synthetic waters was fairly proportional to the DOC concentration but was generally lower than COS formation in DMS-spiked natural waters.